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180 precepted clinical hours, Mississippi Medical Center with Batson Children’s Hospital and North Mississippi Medical Center focused on pediatric acute care. Clinical simulation lab time was spent inserting chest tubes, placing central and arterial lines, and intubating. One-on-one preceptor time was spent formulating notes for history and physical assessments. This semester, the focus of many patients was ruling out the emerging MIS-C for a variety of patients, one of which was diagnosed with atypical Kawasaki disease after an echo revealed dilated coronaries and a 12-year-old male in 3rd-degree heart block after a positive covid infection. Other patient experiences include pulmonary embolisms, ruling out intussusceptions, syncopal episodes, and patients with failure to thrive.

180 precepted clinical hours completed in Mississippi Medical Center with Batson Children’s Hospital and Children’s of Mississippi in Tupelo, emphasizing endocrinology, nephrology, and complex care. Type 1 and 2 diabetes mellitus patients, obesity, and thyroid disorders in an outpatient specialty clinic were seen with an endocrine nurse practitioner. Assessment findings, medications, and lifestyle modifications were discussed with the patients and families. A variety of nephrology patients were assessed and care was discussed in a specialty outpatient clinic with a UMMC nephrology doctor. These patients ranged from receiving kidney transplants due posterior urethral valves, to those with nephrotic syndrome, and multicystic dysplastic kidney. Patients followed by the UMMC complex care team included those with the palliative team. These medically complex patients receive services from various specialists and make the complex care team nurse practitioners or physicians their home medical team. The team works closely with nutritionists and social workers, ensuring the patients can be appropriately cared for outside of the hospital setting.

180 hours precepted clinical hours with North Mississippi Medical Center in a primary care clinic with care provided from birth to late adolescents. Patients ranged from well child visits throughout the lifespan to sick visits with a variety of viral or bacterial illnesses. One on one time was spent with my preceptors in performing head to toe assessments on both well and sick visits, formulating plans and diagnoses, and what follow up would need to be done.